62-year-old male, peasant, former smoker, diabetic on insulin treatment and two-year hypertension, evolution in tx as well It also has long-standing biomass exposure as a precedent. He went to the Hospital for cough and expectoration (phlegm), dyspnea that progressed to medium efforts, fever of 4 days evolution, diarrhea and vomiting. On physical examination: barrel chest, clubbing, increased thrill 2/3 lower right, sub-dullness in the same area and crackles in the same location TA: 140/90, FR 28, SAT.O2 92% .., GB: 14,000 Neutrophils 86%. Answer the following questions : a) Possible diagnoses? b) What studies would be indicated? c) Most likely pathogens in this case? d) What treatment would be indicated? (specify based on possible pathogens)
62-year-old male, peasant, former smoker, diabetic on insulin treatment and two-year hypertension, evolution in tx as well It also has long-standing biomass exposure as a precedent. He went to the Hospital for cough and expectoration (phlegm), dyspnea that progressed to medium efforts, fever of 4 days evolution, diarrhea and vomiting. On physical examination: barrel chest, clubbing, increased thrill 2/3 lower right, sub-dullness in the same area and crackles in the same location TA: 140/90, FR 28, SAT.O2 92% .., GB: 14,000 Neutrophils 86%. Answer the following questions : a) Possible diagnoses? b) What studies would be indicated? c) Most likely pathogens in this case? d) What treatment would be indicated? (specify based on possible pathogens)
Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
Problem 1SRQ
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62-year-old male, peasant, former smoker, diabetic on insulin treatment and two-year hypertension, evolution in tx as well
It also has long-standing biomass exposure as a precedent.
He went to the Hospital for cough and expectoration (phlegm), dyspnea that progressed to medium efforts, fever of 4 days evolution, diarrhea and vomiting.
On physical examination: barrel chest, clubbing, increased thrill 2/3 lower right, sub-dullness in the same area and crackles in the same location
TA: 140/90, FR 28, SAT.O2 92% .., GB: 14,000 Neutrophils 86%.
Answer the following questions :
a) Possible diagnoses?
b) What studies would be indicated?
c) Most likely pathogens in this case?
d) What treatment would be indicated? (specify based on possible pathogens)
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